溢饮胁下坚痛,中脘主之。
腰清脊强,四肢解惰,善怒咳少气,郁郁然不得息,厥逆肩不可举,马刀 身 ,章门
主之。
溢饮水道不通,溺黄,少腹痛,里急,肿洞泄体痛,京门主之。(一云髀痛引背)饮渴,
身体痛,多唾,隐白主之。
寒中伤饱,食饮不化,五脏 胀,心腹胸胁支满,脉虚则生百病,上脘主之。
腹胀肠鸣,气上冲胸,不能久立,腹中痛濯濯,冬日重感于寒则泄,当脐而痛,肠胃间
游气切痛,食不化,不嗜食,身肿(一作重)挟脐急,天枢主之。
取穴法
先二穴,令患人平身正立,取一细绳(蜡之勿令展缩)顺脚底直踏之。(男左女右)其绳前
头与大KT 趾端齐,后头当脚跟中心,向后引绳,循脚跟直上至曲 中,大横纹截断,又
令患人解发分两边,令见头缝,自囟门平分,至脑后,乃平身正坐,取向所截绳,一头令
与鼻端齐,引绳向上,正循头缝,至脑后垂下,循脊骨,引绳头向下,至绳尽处,当脊骨,
以墨点记之,(墨点不是灸处)又取一绳子,令患人合口,将绳子按于口上,两头至两吻,却
钩起绳子中心,至鼻柱根下,令如 状,便齐两吻截断,将此绳展令直,于前来脊骨上墨点
处,横量取平,勿令高下,(绳子先中折当中心以墨记之却展开绳子横量以绳上墨点正压脊
骨上墨点为正两头取平勿令高下)于绳子两头,以朱点记,(朱点是灸穴)
以上是第一次点二穴。
次二穴,令其人平身正坐,稍缩 。取一绳绕项向前双垂,与鸠尾齐。(鸠尾是心岐骨
人有无心岐骨者可从胸前两岐骨下量取一寸即是鸠尾)即双截断,却背翻绳头,向项后,以
绳子中停取心,令正当喉咙结骨上,其绳两头夹项双垂,循脊骨直下,至两绳头尽处,合作
一处。当脊骨,以墨点记之。(墨点不是灸处)又取一绳子。令其人合口,横量齐两吻截断,
还于脊骨上墨点处,横量如上法,绳子两头,以朱点记。(朱点是灸穴)
以上是第二次点二穴,通前共四穴,同时灸,日别各灸七壮,至三七壮,累灸至一百,
或一百五十壮为妙,候疮欲瘥,又根据后法灸二穴。
又次二穴,以第二次量口吻绳子,于第二次双绳头尽处墨点上,当脊骨直下直点,令绳
中停中心在墨点上,于上下绳尽头,以朱点两穴(朱点是灸穴)
以上是第三次点两穴,谓之四花灸,两穴各灸百壮,三次共六穴,各取离日量度,度讫
即下火,唯须三月三日艾最佳,疾瘥百日内,慎饮食房室,安心静处将息,若百日后觉未瘥,
复初穴上再灸之。
凡骨蒸之候所起,辨验有二十二种,并根据上项灸之。
一胞蒸,小便赤黄。二玉房蒸。(男遗尿失精,女月漏不调)三脑蒸,头眩闷热。四髓蒸,
觉髓沸热。五骨蒸,齿黑。六筋蒸,甲焦。七血蒸,发焦。八脉蒸,急缓不调。九肝蒸,(或
时眼前昏暗)十心蒸,(舌焦,或生疮,或时胸满)十一脾蒸。(唇焦坼或口疮)十二肺蒸。(口
干生疮)十三肾蒸。(耳干焦)十四膀胱蒸。(右耳焦)十五胆蒸。(眼目失光)十六胃蒸。(舌
下
痛)十七小肠蒸。(眼目失光)十八大肠蒸。(鼻右孔痛)十九三焦蒸。(乍寒乍热)二十肉
蒸。(别
人觉热,自觉冷)二十一皮蒸。(生鸡皮粟肉起)二十二气蒸。(遍身躁热,不自安息)
用尺寸取穴法
凡孔穴尺寸,皆随人形大小,须男左女右,量手中指中心一节,两横纹中心,为一寸。
艾炷大小法
凡艾炷须令根足三分,若不足三分,恐复孔穴不备,穴中经脉火气不行,即不能抽邪气
,引正气,虽小儿必以中指取穴为准。
用火法
黄帝曰∶松柏柿桑枣榆柳竹等木火,用灸必害肌血,慎不可用,凡取火者,宜敲石取火
,或水精照于日得者,太阳火为妙,天阴则以槐木取火亦良,仓猝之际,或用蜡烛,或清油
点灯,或艾梗引火亦得。
治传尸伏连骨蒸 癖等诸穴。
传尸伏连 骨蒸 癖鬼气,恶寒或如疟状,宜灸大椎上一穴,又灸大椎两旁近下少许
,对椎节间,各相去一寸五分,二穴,又灸两肋下二穴,名章门,又灸当心脊骨上,两旁各
相去一寸,二穴,以上七穴,日别灸,皆取正午时,灸各七壮,满百壮渐瘥,至五百壮病除,
又骨蒸 癖,灸两肩井二穴,若人面热带赤色者,灸之即瘥,取穴之法,坐以手指从 骨罅,
向项筋上捺之中指下,即是也,上廉二穴,在膝外下三寸是,一云∶三里下三寸是,下廉二
穴,在上廉下三寸是。
当心脊骨上,平立以物柱地,当心点记,回量脊上,点即是穴,以上七穴,灸之如前法
,又骨蒸 癖,令患者于板上,平身正立,以杖拄板向上度,当脐点杖记之,又回杖量脊中
点之,又令患人合口,别以物横口两吻,当中折之,以折处点灸,又两乳一夫肋间,二穴,
总六穴,灸之并如前法,凡量皆取病者男左女右无名指中节,屈之为寸,又法取男左女右手
中指,以物从指本,量至指端,仍将此度于脚趺上系鞋处横纹,当胫面上量一度,是穴。
治传尸 喜魇梦诸穴。
商丘二穴,在足内踝下微前陷中,灸七壮,瘥乃止,厉兑二穴,在足大趾次趾之端,去
爪甲角如韭叶,灸一壮大良,二间二穴,在手大指次指本节内侧陷中,灸三壮,以上六穴,
商丘疗多卧,厉兑疗嗜卧怠惰,章门疗贲豚气胀,治五劳七伤,及山岚瘴疟,背 烦重,心
痛,注忤气羸,食不生肌肤,寒热邪气,头项强,面色黑黄,精神昏倦,积年淋沥,积癖,
鬼气传尸骨蒸等诸穴,胃俞二穴,在第十二椎下,两旁各一寸五分,日灸七壮止,或至一百
壮,量病轻重加灸,又肾俞二穴,在第十四椎下,两旁各一寸五分,灸七七壮,病深者日灸
七壮,至百壮佳,又章门二穴,可灸七壮,日灸渐至七七壮,同前法,又太冲二穴,在足大
趾间一寸,本节后二寸陷中,灸五壮,渐加,日灸如前法,凡膏肓二穴,令病患坐,曲背伸
两臂,着膝令直,手大指与膝齐,以物稽肘,勿令臂动,从 骨上角摩捺,至 骨下头,其
间当有四肋三间,灸中间,旋转 骨之里,去 骨侧容指许,摩膂肉之表肋间灸处捺之,自
觉牵引胸肩,中灸两 骨内,各一处五百壮,多至千壮,气下如水,若无停痰宿水,必有所
下也,此灸法无所不治,若病困即令侧卧,挽臂令前取穴,或正坐伸臂,令人挽之,使两臂
骨相远,不尔膊骨复穴。即难取也,其穴近五椎,相望求之,又肝俞二穴,在第六椎下,两
旁各一寸五分,日灸七壮,病深者至百壮,佳,又神堂穴,在第五椎下,两旁各三寸陷中,
正坐取穴,灸七壮,至七七壮如前法,以上七名,总十四穴,若不能遍灸,当取紧者灸之,
其紧者,即膏肓胃俞章门肾俞太冲是也,若能根据次第灸之,各满百壮,尤善,凡量穴法,不
拘肥瘦长短,取病患男左女右手中指,度两横纹为寸,是为同身寸也,凡灸皆取正午时佳,
若旦起空腹灸,即伤人气,又令人血虚,若日晚食后灸,即病气难去,若治猝病风气,即不
在此例。
Yi Yin (Overflowing Drink) presents with hardness and pain in the hypochondrium, treated by Zhongwan (CV12).
Coldness in the waist, stiffness of the spine, flaccidity and weakness of the four limbs, irritability, cough with shortness of breath, depression causing difficulty in breathing, cold extremities with inability to raise the shoulders, and Mach Dao Xia Ying (scrofula/cervical lymphadenopathy), treated by Zhangmen (LR13).
Yi Yin obstructs the water pathways, presenting with yellow urine, lower abdominal pain, internal tension, edema, severe diarrhea (Dong Xie), and body pain, treated by Jingmen (GB25). (Another view states hip pain radiating to the back). Thirst due to fluid retention, body pain, and excessive salivation, treated by Yinbai (SP1).
Cold damaging the middle after overeating, leading to indigestion, distension of the five Zang organs, fullness and support in the heart, abdomen, chest, and hypochondrium; when the pulse is deficient, hundred diseases may arise, treated by Shangwan (CV13).
Abdominal distension with borborygmus, Qi rushing up to the chest, inability to stand for long periods, rumbling abdominal pain; if exposed to cold in winter, diarrhea occurs, pain around the umbilicus, cutting pain from wandering Qi in the intestines and stomach, indigestion, loss of appetite, body swelling (or heaviness), and tension beside the umbilicus, treated by Tianshu (ST25).
Acupoint Selection Method:
First, determine two acupoints. Have the patient stand upright. Take a thin rope (coated with wax to prevent stretching or shrinking) and place it straight along the sole of the foot. (Left foot for males, right foot for females). Align the front end of the rope with the tip of the big toe, and the back end with the center of the heel. Extend the rope backward along the heel up to the popliteal crease, then cut it. Next, have the patient untie their hair and part it to reveal the midline suture. From the fontanelle, divide equally to the back of the head. Then, have the patient sit upright. Take the previously cut rope, align one end with the tip of the nose, extend it upward along the head's midline suture to the back of the head, let it hang down, and follow the spinal column downward to the end of the rope. Mark this point on the spine with ink (the ink mark is not the moxibustion site). Take another rope, have the patient close their mouth, and place the rope across the mouth from corner to corner. Lift the center of the rope to the root of the nasal bridge, forming an arch, and cut it level with the corners of the mouth. Straighten this rope and measure horizontally from the previous ink mark on the spine, ensuring it is level (not high or low). (Fold the rope in half and mark the center with ink; unfold and measure horizontally so that the ink mark on the rope aligns exactly with the ink mark on the spine; ensure both ends are level). Mark the two ends of the rope with cinnabar (these cinnabar marks indicate the moxibustion points). These are the first two points determined.
Second, determine two more points. Have the patient sit upright and slightly retract the neck. Take a rope, wrap it around the neck hanging forward doubly, aligning with Jiwei (CV15). (Jiwei is the xiphoid process; if absent, measure one cun below the bifurcation of the costal margin). Cut the rope doubly. Reverse the ends towards the back of the neck. Find the center of the rope and align it with the laryngeal prominence. Let the two ends hang doubly along the neck, following the spine downward until the ends meet. Mark this point on the spine with ink (not the moxibustion site). Take another rope, have the patient close their mouth, measure horizontally across the mouth corners, and cut. Return to the ink mark on the spine and measure horizontally as before. Mark the two ends of the rope with cinnabar (these are the moxibustion points). These are the second two points. In total, there are four points, which should be moxibusted simultaneously. Moxibustion seven Zhuang per point daily, accumulating to twenty-one Zhuang (3x7), continuing up to one hundred Zhuang, or ideally one hundred fifty Zhuang. When the moxibustion sore is about to heal, apply the subsequent method to moxibust two more points.
Third, determine two more points. Use the rope used for measuring the mouth corners in the second step. On the ink mark where the double rope ends met in the second step, mark directly down the spine. Align the center of the rope with this ink mark. Mark the top and bottom ends of the rope with cinnabar to identify the two points (these are the moxibustion points). These are the third two points, known as "Si Hua Jiu" (Four Flowers Moxibustion). Moxibustate each point one hundred Zhuang. The three steps yield six points in total. For each measurement, ensure proper distance from the sun. After measuring, begin moxibustion. Mugwort collected on the third day of the third lunar month is best. Within one hundred days after recovery, avoid improper diet and sexual activity, remain calm, and rest quietly. If symptoms persist after one hundred days, re-moxibustate the original points.
The manifestations of Gu Zheng (Bone Steaming) can be differentiated into twenty-two types, all treated according to the above methods:
1. Bao Zheng (Bladder Steaming): Red and yellow urine.
2. Yu Fang Zheng (Genital Steaming): Nocturnal emission and spermatorrhea in men; irregular or prolonged menstruation in women.
3. Nao Zheng (Brain Steaming): Dizziness and heat sensation.
4. Sui Zheng (Marrow Steaming): Sensation of boiling heat in the marrow.
5. Gu Zheng (Bone Steaming): Blackening of teeth.
6. Jin Zheng (Tendon Steaming): Dry and brittle nails.
7. Xue Zheng (Blood Steaming): Dry and brittle hair.
8. Mai Zheng (Vessel Steaming): Irregular tension and relaxation of vessels.
9. Gan Zheng (Liver Steaming): Occasional blurred vision.
10. Xin Zheng (Heart Steaming): Dry tongue, oral ulcers, occasional chest fullness.
11. Pi Zheng (Spleen Steaming): Dry and cracked lips, oral ulcers.
12. Fei Zheng (Lung Steaming): Dry mouth, oral ulcers.
13. Shen Zheng (Kidney Steaming): Dry and brittle ears.
14. Pang Guang Zheng (Bladder Steaming): Brittle right ear.
15. Dan Zheng (Gallbladder Steaming): Loss of vision.
16. Wei Zheng (Stomach Steaming): Pain under the tongue.
17. Xiao Chang Zheng (Small Intestine Steaming): Loss of vision.
18. Da Chang Zheng (Large Intestine Steaming): Pain in the right nostril.
19. San Jiao Zheng (Triple Burner Steaming): Alternating chills and fever.
20. Rou Zheng (Flesh Steaming): Others feel hot, but the patient feels cold.
21. Pi Zheng (Skin Steaming): Appearance of gooseflesh-like bumps.
22. Qi Zheng (Qi Steaming): Restlessness and heat throughout the body, inability to find comfort.
Measurement Method using Cun:
The size of acupoints varies with the patient's body size. Measure the middle segment of the middle finger (left for males, right for females); the distance between the two transverse creases constitutes one Cun.
Size of Moxa Cone:
The base of the moxa cone must be at least three Fen thick. If less than three Fen, it may not cover the acupoint adequately, preventing the fire Qi from circulating through the meridians, thus failing to expel pathogenic Qi and attract healthy Qi. Even for children, use the middle finger measurement as the standard.
Fire Method:
Huangdi stated: Wood fires from pine, cypress, persimmon, mulberry, jujube, elm, willow, and bamboo harm the muscles and blood when used for moxibustion; they must be avoided. To obtain fire, strike flint, or focus sunlight using crystal; solar fire is optimal. On cloudy days, firewood from locust trees is also good. In emergencies, candles, oil lamps, or igniting mugwort with existing fire are acceptable.
Acupoints for Chuan Shi Fu Lian (Infectious Consumption), Gu Zheng (Bone Steaming), Pi Ku (Masses), etc.:
For Chuan Shi Fu Lian, Gu Zheng, Pi Ku, Gui Qi (Ghost Qi), aversion to cold resembling malaria, moxibustate one point above Dazhui (GV14), and two points near the lower sides of Dazhui, aligned with the vertebral interspaces, 1.5 Cun apart. Also moxibustate two points under the hypochondrium named Zhangmen (LR13). Also moxibustate two points on the spine opposite the heart, 1 Cun lateral to the midline. Total seven points. Moxibustate daily at noon, seven Zhuang per point. Gradual improvement occurs at one hundred Zhuang; disease resolves at five hundred Zhuang.
For Gu Zheng and Pi Ku, moxibustate Jianjing (GB21) bilaterally. If the face appears flushed red, moxibustation brings quick relief. To locate Jianjing: sitting, press from the clavicular notch upwards along the tendon to the level of the middle finger.
Shanglian (Upper Frontier) points: Three Cun below the knee laterally. One view says three Cun below Zusanli (ST36).
Xialian (Lower Frontier) points: Three Cun below Shanglian.
On the spine opposite the heart: Stand upright, place an object on the ground marking the heart center, measure back up the spine to mark the point. Total seven points, moxibustate as before.
For Gu Zheng and Pi Ku: Have the patient stand upright on a board. Use a staff to measure vertically from the umbilicus and mark. Measure back to the middle of the spine and mark. Have the patient close their mouth, place an object horizontally across the mouth corners, fold it in half, and mark the fold point for moxibustation. Also moxibustate two points in the intercostal space between the nipples. Total six points, moxibustate as before. Measurements use the flexed middle segment of the ring finger (left for males, right for females) as one Cun. Another method: measure from the proximal end to the tip of the index finger (left for males, right for females). Apply this measurement horizontally on the dorsum of the foot at the shoe-tying crease, on the tibial surface, to locate the point.
Acupoints for Chuan Shi, Nightmare Dreams, etc.:
Shangqiu (SP5): Two points, in the depression slightly anterior to the medial malleolus. Moxibustate seven Zhuang until cured.
Lidui (ST45): Two points, at the tip of the second toe,距 the nail corner width of a leek leaf. Moxibustate one Zhuang for excellent results.
Erjian (LI2): Two points, in the depression on the medial side of the proximal phalanx of the index finger. Moxibustate three Zhuang.
Total six points. Shangqiu treats hypersomnia; Lidui treats lethargy and laziness; Zhangmen treats Ben Tun Qi (Qi surging upward) and distension; treats Wu Lao Qi Shang (Five Exhaustions and Seven Injuries), mountain miasma malaria, heavy back and vexation, heart pain, Zhu Wu Qi Lei (emaciation due to adverse Qi), food failing to nourish muscles, alternating chills and fever, head and neck stiffness, dark and yellow complexion, mental fatigue, chronic wasting, accumulated masses, Ghost Qi, Chuan Shi, Gu Zheng, etc.
Weishu (BL21): Two points, 1.5 Cun lateral to the spinous process of the 12th thoracic vertebra. Moxibustate seven Zhuang daily, or up to one hundred Zhuang, depending on severity.
Shenshu (BL23): Two points, 1.5 Cun lateral to the spinous process of the 14th thoracic vertebra (L2). Moxibustate forty-nine Zhuang (7x7). For deep-seated disease, moxibustate seven Zhuang daily up to one hundred Zhuang.
Zhangmen (LR13): Two points. Moxibustate seven Zhuang initially, gradually increasing to forty-nine Zhuang daily, as before.
Taichong (LR3): Two points, one Cun between the big toe and the second toe, in the depression two Cun distal to the metatarsophalangeal joint. Moxibustate five Zhuang, gradually increasing, daily as before.
Gaohuang (BL43): Two points. Have the patient sit, hunch the back, extend arms, touch knees with straight legs, align thumbs with knees. Support elbows with an object to prevent arm movement. Massage from the upper angle of the scapula to the lower end. There are four ribs and three spaces in between; moxibustate the middle space. Rotate inside the scapula, approximately one finger-width from the lateral edge of the scapula, massage the surface of the erector spinae muscle at the intercostal moxibustion site. The patient should feel traction in the chest and shoulders. Moxibustate one point inside each scapula, five hundred Zhuang each, up to one thousand Zhuang. This causes Qi to flow like water; if there is retained phlegm or old fluid, it will be expelled. This moxibustion method treats all conditions. If the patient is too weak, have them lie on their side, pull the arm forward to locate the point, or sit upright extending the arm while someone pulls it to separate the shoulder blades. Otherwise, the humerus may obscure the point, making it hard to locate. The point is near the fifth thoracic vertebra; seek it by observation.
Ganshu (BL18): Two points, 1.5 Cun lateral to the spinous process of the 6th thoracic vertebra. Moxibustate seven Zhuang daily; up to one hundred Zhuang for deep disease.
Shentang (BL44): One point, in the depression 3 Cun lateral to the spinous process of the 5th thoracic vertebra. Sit upright to locate. Moxibustate seven Zhuang, up to forty-nine Zhuang as before.
Total fourteen points among these seven names. If unable to moxibustate all, prioritize the "tight" or sensitive points: Gaohuang, Weishu, Zhangmen, Shenshu, Taichung. If possible, moxibustate in sequence, reaching one hundred Zhuang per point, which is ideal.
For measuring acupoints, regardless of fat/thin or tall/short stature, use the middle finger of the patient (left for males, right for females), measuring the distance between the two transverse creases as one Cun, known as "Tong Shen Cun" (Same Body Cun).
Moxibustation is best performed at noon. Moxibustation on an empty stomach in the morning damages Qi and causes Blood deficiency. Moxibustation after dinner in the evening makes it difficult to expel pathogenic Qi. However, for acute wind-pathogen diseases, these rules do not apply.